Bioethics, healthcare policy, and related issues.
Jessica of Feministing has an outstanding interview with Katha Pollitt in the current Salon. Among her usual refreshingly clearsighted remarks, Pollitt touches on the clicheic put-downs of feminists as “strident” and overly political. What she had to say touched an important nerve for me:
Well, do black people, do Latinos, do workers go around saying, “Oh no! Our leaders are so strident! Someone just wrote a strident book defending my rights!” . . .
[W]hen we talk about abortion, how often do we talk about it in terms of women’s lives? As opposed to it being about a fetus being a person. The anti-choicers have so thoroughly switched the conversation over to the question of the personhood of the fertilized egg or fetus that now it’s even a person before it’s implanted in your uterus!
This came right on the heels of my stumbling across another old cliche of the abortion-rights fight: “There are no easy answers in the abortion debate.” The two together put me onto a line of thought that I want to spin out a bit:
There certainly are easy answers about abortion, and it’s time we damn well insisted they be recognized.
Abortion Rights: A Debate Long Over
Abortion is not a complicated topic. And it is not one that, somehow, inherently precludes coming to right moral answers, or working out clear, exact, and comprehensible solutions to the salient questions. In fact, the answer to the “debate” over abortion is perfectly clear, and it follows from a necessarily careful and exacting, but actually quite simple, moral argument.
The answer to the central question about abortion is that:
Any (mentally competent and autonomous) woman is entitled to determine whether or not to become pregnant, or to stay pregnant if she does, under any circumstances and at any point in the pregnancy, for whatever reasons seem sufficient to her, and to use whatever reasonable means she chooses to enact her decision in that regard.
In fact, the issue is so simple that I won’t bother giving the moral argument for it, because you all know what it is. (Hint: It rests on the woman’s inherent autonomy over her own body, and on the lack of morally salient qualities of personhood of the fetus until at least quite late in pregnancy and probably beyond, either of which independently would be sufficient to determine the answer give above. Working out the arguments is left as an exercise for the reader, or you could just go look up any of the hundreds of good versions of them printed in books and journals.)
Why the Question of Abortion is Not a Live Conflict
The “debate” over abortion is not really a debate. The anti-choice arguments offered are, with a few exceptions, utter horseshit. Virtually nothing said on the subject withstands the slightest, most minimal intellectual scrutiny. The slogans (“It’s a baby, not a choice!” “Abortion stops a beating heat!”), the crude signs, the pictures, the weird (and almost always grossly inaccurate) recitations of fetal development milestones (“Now he has his own fingerprints”), and all the rest of the nonsense, are not just inadequate to prove abortion immoral, they are grossly, deeply, deeply stupid. The morality of abortion has nothing to do with whether the fetus has fingerprints, or a beating heart. It has nothing to do with whether aborted tissue is pleasant to look at. “It’s a baby, not a choice” doesn’t even make sense: no physical object is a “choice”, a choice is a mental process, and the choice in question refers to the abortion procedure, not the fetus.
Obviously, the signs and slogans and rants and chants are largely intended as mere propaganda (though a depressingly large percentage of anti-choicers seem to believe that they have really said something when they’ve burped out one of their slogans). Even so, the fact that they are part of the debate at all, and the anti-choicers think they matter, implies either that they think their opponents are so dumb as to be that badly confused on what the issue is really about, or, the obviously correct alternative, the anti-choicers themselves are that dumb.
The “arguments” offered by anti-choice blogs, Web sites, and pamphlets are just as bad – abortion has nothing to do with whether a fetus feels pain, or is viable at this or that week of development, or has genetic defects, or doesn’t have genetic defects, or whether the Nazis were against genetic defects, or whatever other irrelevant and obscurantist confusion they drag in. Being able to feel pain does not give any person the right to live inside another person’s body against their will – still less the non-person fetus. Being able to live outside a person’s body does not give any person the right to live inside another person’s body – still less the non-person fetus. And what the Nazis did, they can answer for – the women of the world are not required to march the via Dolorosa to play out some anti-womanist’s pretended outrage at the Nazis.
Why Fetal Personhood is Not an Effective Counter-Argument to Women’s Autonomy
Because the answer to the question of abortion rights arises from the liberty interests of the woman at the center of the issue, and from the incommensurability of her moral rights and interests against the non-existent moral interests of the fetus which lacks moral standing entirely, there is only one way to coherently counter the claim to the right of abortion. That argument must rest on an assertion of fetal interests in claiming the woman’s body for its own benefit outweighing those of the woman herself to use her own body according to her own values. And that argument, again, has nothing to do with, and is not strengthened by, any signs, slogans, pictures, or consideration of the fetus’s bodily organs, appearance, or what have you.
There is an argument to that effect: it is the argument that every embryo or fetus is a moral person in its own right, or, almost equivalently, that moral personhood is synonymous with simply being a fertilized human zygote. This is the argument anti-choicers are implicitly making when they go on about how the fetus can be “proven scientifically” to be a “human being”, often adducing hilariously garbled statements about DNA and the fertilization process to “prove” this claim. (In fact, the biological development of an unique “human being” proves a dauntingly ambiguous issue when you look at it close up – and most anti-choice arguments on this topic fall far short of even the easy goal they set for themselves.) But the scientific data are not the salient issue in that argument; what matters is the – almost invariably completely implicit – assumption that merely “being human” is morally determinative of anything. And that claim cannot be proven, or even made very plausible.
(a): The Fetus Cannot Have the Capacity for Moral Personhood
If moral personhood depends upon any functional capacity at all higher than the cellular level – consciousness, self-awareness, sentience, viability, whatever – then the early zygote or embryo cannot be a moral person, because it has no such capacities for quite some time into development. QED. Game over. That’s it. There is no possible argument whatever to the conclusion that the early embryo is a moral person, IF moral personhood depends upon any functional capacity beyond cellular-level biochemistry and embryonic developmental processes. And the further you go in insisting that personhood depends on actually morally relevant capacities, such as having thoughts, interests, or desires, the further back on the developmental timeline you push the personhood threshhold.
(b): Fetal Personhood at Conception is an Arbitray Assertion of Opinion
So – o – o – o – o . . . the (quite rare) few anti-choicers who understand this have to, and do, fall back on a claim of fetal personhood that rests on no morally relevant qualities whatsoever. That would seem to be a weakness, and it is. It is, however, at least logically coherent, although arbitrary. What exactly is this about? Well, they simply assert that every human embryo is a moral person from the moment of conception. They often obfuscate the barefaced arbitrariness of this claim by then gabbling about DNA and chromosomes and “human life” and whatnot, but the relevant moral point is that they claim that personhood begins at conception, and, furthermore, that there is no reason for believing this at all except for the assertion itself.
Invariably, that assertion is prompted by some sort of religious belief, but there are, famously, no good reasons for adopting religious beliefs other than one’s own arbitrary act of will, and similarly there is no reason for accepting moral assertions grounded on religious belief other than that you, personally and for yourself alone, choose to do so. No one can assert the moral personhood of the fetus as a universal moral principle, for precisely the same reason that no one can stipulate what another person’s religious beliefs must be. And there you have it. The claim that fertilization confers personhood rests on no morally relevant fact whatever, and thus can only be arbitrary. The assertion that fertilization, or “being human”, or some similarly implicated scientific fact, is itself morally relevant, is merely an assertion of personal belief, usually religious in nature, not logically commanding anyone else’s assent.
(c): Why Fetal Capacities in Late Development Are Morally Relevant, and Conception is Not
A final note: it may appear, then, that the assertion that some other fact of development – such as consciousness, self-awareness, etc. – is morally relevant is equally arbitrary and idiosyncratic. Not so. Those capacities are inherently morally relevant – they are either pre-requisites for, or the functional capacity for, having moral interests at all. Obviously, having thoughts and goals is morally significant – they are the means by which we pursue the morally good life and recognize and adhere to the moral law. Without those capacities, among others, we could not be moral at all. In this way, they are obviously and irrefutably morally relevant, in a way that, say, having fingerprints, or “being human”, are not. So they are at least candidate qualities for defining moral personhood, in a way that having fingerprints and being human cannot be.
So we’re done with that, then, right? That actually wasn’t what I wanted to talk about.
The Main Issue: The Abortion “Debate” is Distorted by Failure to Recognize the Emptiness of the Anti-Choice Position
What I wanted to talk about is the fact that all that bullshit is still part of the wholly bogus and in-bad-faith “debate” over abortion! None of what I’ve written above is hard to understand. None of it is original in basic substance. And you can find some recognition of all that in the writings of at least some prominent anti-choicers. But it makes no difference – to anti-choicers OR to pro-choicers! They’re still spouting the same incoherent and utterly disingenuous bullshit, and we’re still letting them do it!
Pollitt is right on the mark when she asks why the fact that a woman’s freedom and life choices are at stake is not brought forcefully to the fore whenever any anti-choice thug takes the stand? She’s right that we would never countenance this ugly, bigoted, and at bottom stupid rhetoric about minorities, or low-income workers, or any issue we really cared about. But about abortion, we freely enter into debates about “what if she’s raped?” or what procedures should be allowed, or what the cutoff point should be, or how long you have to wait to have one.
On what other issue do we require someone to be raped before she can exercise her own rights? When do we ever say “you have the right to do whatever you want on this matter, but you have to do so by a medically more dangerous process than necessary if we don’t like your decision”? In what other case can you make a decision, wholly within your own rights and affecting only yourself, and then have to wait overnight to actually carry it out? Or listen to some state-sponsored speech, filled with lies, deliberately attempting to discourage you from exercising your legal rights?
To be sure, it wasn’t pro-choicers who made any of those decisions, and they fought them as hard as they could. But even pro-choicers get sucked into debating the personhood of the fetus – a matter that, if it cannot be defined to perfection, can very easily and with logical exactitude be determined not to include the zygote, or blastula, or embryonic, or early or middle fetal stages. That question is answered. Any dissenting answers are either religious idiosyncracies that you are free to ignore, or, simply, wrong. Anyone who offers any such answer is either ignorant, stupid, or deliberately trying to confuse the issue in order to take away women’s rights. It’s not open to debate. Asserting that the zygote or the embryo is a moral person is intellectually worse than being a creationist – and we are entitled to say so, and to insist on conducting the “debate” on those terms. “Compromise”, or “agreeing to disagree”, or agreeing that “there are no easy answers”, is simply allowing the anti-woman forces to set the terms of the discussion in a way that does not focus upon their encroachment upon women’s freedom and bodily integrity – which are the real moral issues in abortion.
The Abortion “Debate” Should be Focused on Women’s Autonomy as the Only Relevant Moral Question
This is what you need to know and say:
Abortion is a very simple moral issue. The moral questions it raises are not complicated, they are easily resolved (for all practical purposes), and the answers to them have long been known. The salient moral fact about abortion is the exercise of a women’s moral autonomy and bodily integrity. Other issues commonly raised in this “debate” are either the product of confusion or deliberate red-herrings. There is no significant debate taking place over abortion, any more than there is over the morality of slavery or the fact of evolution. The “debate” is merely the prolongation of a political conflict aimed at constraining women’s autonomy and controlling their sexual freedom. The “debate” serves only to push the violation of women’s rights out of the discussion and to create political cover for legal restraints on women’s moral rights.
And to the extent that we have allowed that “debate” to take place by not shouting at every turn “the issue is women’s bodies, women’s lives, and women’s freedom!”, we have forfeited our own moral clarity – a mistake we would not allow ourselves to make on any other moral issue.
The issue is women’s bodies, women’s lives, and women’s freedom. Accept no substitutes.
UPDATE: Tgirsch, at my home blog Lean Left, has suggested that this post is unnecessarily angry and insulting. (Actually, he claims that it “takes the angry train to insultville”, which I presume means the same thing, though I really have no idea.) Along with Pejar, below, that makes at least two people who say so. This indicates to me that I have failed to make my meaning clear enough. In response, I have not edited the language of the post, but I have added section headings above to make the logical structure of the argument clearer.
12 Responses to “Keeping It Real”
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July 13th, 2006 at 1:11 PM
Wow. That sounded really angry.
I hate to disagree when you come to extremely similar conclusions as I do, but I don’t think the answers are ‘easy.’ Logically clear, perhaps, but that is different from obvious. It requires a clarity of vision to realise that we (or most of us) put a premium on human life because it forms a person (which is, as you say, a morally relevant fact) rather than merely a human (which is not).
On the other hand, though, I think that there is a coherent if awful moral theory underpinning the elevation of technical human life above all other faculties. I discussed this on my blog recently: http://unifiedview.blogspot.com/2006/07/sanctity-of-life.html . In essence, what it comes down to is this. The interests of beings (including humans) in this world are not important. The morally relevant fact is that everything is God’s property and must be treated as such. Killing is violating God’s property rights and as God values the life of humanity over all else, technical human life must always be preserved.
The crucial thing about this moral underpinning is that then the fact of technical humanity need not be logically relevant – an owner need not be rational in what property he or she values more highly. Now clearly, I don’t agree with a word of this. I am just saying that in my opinion this is the philosophical underpinning of all the sanctity of life morality. And that, I’m afraid, is why it is not as easy as you suggest. To these people, even if bodily integrity is important, it can never be as important as human life, even human life which has yet to reach personhood. Ethics need not be rational outside of the Bible, because in the end it is all down to God’s choices.
July 13th, 2006 at 6:17 PM
Wow. That sounded really angry.
Well, it was. And I think that’s valid, at long last.
As for the rationality of religiously-based ethics, that’s much of my point. Many people certainly do have tightly-held religious beliefs that subordinate human interests and liberty to some sort of dictated morality – and it is almost impossible to discuss moral issues rationally with someone who holds such a position. But, my argument is, we don’t have to.
Religion is one of the basic issues of personal conscience – meaning we cannot demand that others abandon their religious beliefs, but they also cannot demand that we adopt them, or accept them as grounds for policy. Religious conservatives are free to believe what they want – we aren’t required to take it seriously.
July 13th, 2006 at 9:42 PM
Very true. The problem is this, however. To greatly oversimplify, pro-choicers base their abortion ethics on human interests, while pro-lifers base their abortion ethics on God’s interests. While the latter is based firmly on religion, the former still can’t be scientifically tested. Ethics is immune from testing. This means that there can be no neutral position – whatever an administration adopts is taking a side on the question of what ethical basis we should adopt. That is a pure matter of policy. While governments can be completely neutral with regards to religion or no religion, it cannot just push aside the issue of abortion.
Now we can say that the human interests ethic does not necessarily require religion, and that is true. However, it does rest on the claim that human interests are what are morally relevant, which is a value judgement. In a sense, accepting it is a matter of faith. So it seems difficult to argue that the Government should accept this article of faith rather than that, simply because this one does not require religion!
In essence, what I am saying is this. Moral beliefs, like religion beliefs, are also basic issues of personal conscience. Since there is no neutral position with regard to abortion, some personal belief has to be forced on people. We just have to fight to make sure it is ours.
July 14th, 2006 at 12:33 AM
[...] Over at his bioethics blog, our own KTK has a post concerning the abortion debate. And I’m afraid I have to take issue with it. Essentially, the problem is that he starts with a solid premise, but then goes off his meds and takes the angry train into insultville. [...]
July 14th, 2006 at 9:45 AM
Wow, some good points mixed in with a lot of angry rant. Not very useful for an abortion “debate” but an excellent reminder:
“The issue is women’s bodies, women’s lives, and women’s freedom.”
It is wrong for the Chinese government to force women to abort pregnancies, and it is just as wrong for the American government to force women to maintain a pregnancy.
July 14th, 2006 at 1:08 PM
Pejar writes:
” Since there is no neutral position with regard to abortion,”[...]
Sure there is. Two extremes:
1. Women should be prevented by force from having abortions.
2. Women should be forced to have abortions.
The neutral position, for government, is to neither force women to have abortions, nor to criminalise them for it, but to stay the hell out of their uteruses and let them make their own bodily choices.
July 14th, 2006 at 1:20 PM
I was actually rather proud of the “angry train to insultville” rhetorical ploy.
I guess my primary objection to this post, which I may not have made clear enough, is that you seem to lump everyone who opposes abortion into two broad categories:
1. Misogynists
2. Idiots
I don’t think that’s fair.
And as a political strategy, like it or not, rhetoric like yours is a political loser. The underlying idea is good: that this is a freedom issue, and that pro-choice forces need to constantly reframe the debate in those terms. But your phrasing makes it just too easy to dismiss the whole argument (or any like it) as an “angry rant.”
July 14th, 2006 at 1:50 PM
Tgirsch:
(I thought “angry train” was clever – it just sounded like something you’d find in a Dr. Seuss special!)
I don’t really think all opponents of abortions rights are misogynists or idiots. I do think that a committed opposition to abortion can only come from either a deep confusion over the issues, or a personal opposition to women’s freedom. (So, OK, they’re misogynists or idiots. It does seem hard to escape that.)
Instead, I have been helpful above by offering a different categorization. Anti-choice arguments fall into two broad categories:
1. Creationism
2. Prejudiced special pleading
You’ll agree that’s better, I’m sure!)
But it really gets to the heart of what I’ve been saying: the “debate” over abortion is not the point for anyone who looks at the issue seriously and honestly. There is no intellectually respectable argument against abortion rights, any more than there is against evolution or in favor of slavery. The issue really is just as clear-cut as those other two – clear enough that no intelligent person should harbor the opposite opinion. And we have allowed ourselves to be blinded from seeing that by the hurricane of obfuscation thrown up by anti-choicers.
When I say “the only morally relevant issue is women’s freedom”, I don’t mean that we should “reframe the debate” in those terms. (We should, and I have said so above, but that’s not my basic point.) What I mean is, literally, the only morally relevant issue in abortion is women’s freedom – in the same way that the only morally relevant issue in slavery is the slaves’ freedom, and the only scientifically relevant issue in evolution studies is . . . well, the relevant scientific issues in evolution, not some right-wing crank screaming out their deluded program as a way of derailing the discussion. The “rights” of the slaveholders, their economic loss, what some clown found in the Bible to support slavery – none of that matters. No intellectually respectable person would give it a moment’s credence (though, it’s true, many did for hundreds of years – they were wrong). The arguments against abortion rights are just as weak and just as vacant, and we – from the mere perspective of intellectual honesty and self-respect alone – shouldn’t countenance them, aside from the fact that doing so is deadly to women.
July 14th, 2006 at 2:24 PM
Obviously, having thoughts and goals is morally significant – they are the means by which we pursue the morally good life and recognize and adhere to the moral law. Without those capacities, among others, we could not be moral at all.
Okay, here’s the problem. KTK asserts that having the capacity to be moral is the deciding factor with regards to which objects morality should consider, ie. we should be moral to those who can be moral back to us. Firstly, I and many others would disagree. Even if animals and the severely mentally disabled do not have the necessary faculties to be full moral agents, they should still be objects of our morality (even if not to he same extent) because they have interests which can be lost (an interest in life, a lack of suffering etc). What we choose as morally relevant is always in the end based on an unverifiable moral basis. I might say that the depth and extent of our interests determines how far we should be considered moral objects. You may say that one is either a moral object or not, depending on personhood. Someone else may say that the value God places on lives determines how far they should be considered moral objects. None of these are verifiable or falsifiable.
Here’s the kicker. Almost everyone will agree that a key role of the Government is to protect moral objects. But exactly what counts as a moral object has yet to be determined. If the Government allows abortion it is adopting a moral basis we would tend to approve of. If it bans abortion, it is adopting a moral basis we would disagree with. In each case, it has adopted an unverifiable premise. Now, we would generally wish for the Government to remain as neutral as possible with regards to unverifiable moral premises, hence religion-neutrality. But there is no neutral position when it comes to abortion because (and this is the answer to Lara) even though pro-choice may appear less coercive, it assumes that a foetus is not a moral object which must be protected, which commits it to one of those premises. Now we may all here agree to that premise, but in the end we have to defend it rather than saying that it is simply the one which must be adopted, because the alternative requires religion.
To summarise (because I realise that my argument may be confusing!): Although the basis of the general pro-life position is necessarily religious and so unverifiable, the basis of the general pro-choice position is also in the end unverifiable. Therefore, we have to explain why the latter is the better position to adopt.
July 14th, 2006 at 3:43 PM
Unfortunately, I can’t take original credit for “angry train to insultville.” It’s a take on something I heard Jon Stewart say to Jon McCain, accusing him of taking the “crazy train to basetown” or something like that.
There is no intellectually respectable argument against abortion rights
If you restrict that statement to the first two trimesters, I think it works much better. However, I think a case could be made for it being morally wrong for an eight-months-pregnant woman to have an abortion simply because she’s suddenly decided she doesn’t want a baby. And I suspect that an overwhelming majority of Americans (including most who call themselves pro-choice) hold this view. That’s where I think your argument goes down the wrong road, because it doesn’t address this, and it doesn’t account for it. You seem to be advocating for an unconditional right to abortion at any stage of pregnancy, for any reason — something which is about as popular (and seems about as wrong) as the opposite extreme position of no abortions ever, at any time, under any circumstances.
The best summation of the abortion debate in the US, for my money, is given here (headphones required).
July 15th, 2006 at 10:09 PM
Hi Kevin,
One quick question – Should a pregnant woman who is suffering from severe nausea or severe acne be able to take thalidomide or accutane to treat their condition based on their right to bodily autonomy? After all, the fetus has no moral status let alone a right to an environment safe from pathogens. Would that be a morally appropriate choice? (More on this point here: http://lti-blog.blogspot.com/2006/07/do-no-harm-except-for-that-killing.html.)
July 15th, 2006 at 11:01 PM
[...] Serge, of LTI Blog, posted a comment to my recent post on the abortion debate. I’ve taken the liberty of moving it up here as a separate post. [...]